Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Licensee Kathleen Hopkins for an unannounced one (1) year Required visit for this facility. LPA arrived at 12:25 pm and was greeted by the Licensee. LPA informed the Licensee of the purpose of the visit.

Infection control: LPA reviewed the facility mitigation plan (approved on 03/11/21) to make sure the licensee was following current infection control recommendations. Upon arrival LPA was screened, and sanitizer was available upon entry.

A tour of the physical plant was conducted with the Licensee at 12:32 pm. The facility has five (5) bedrooms and three (3) bathrooms currently occupying three (3) clients. Two (2) bedrooms and one (1) bathroom are currently being used for staff rooms and storage for PPE Supplies. The facility is Fire Cleared for four (4) ambulatory clients.

LPA conducted a tour of the kitchen around 12:32 pm and observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPA observed all knives and medications locked in the cabinet.

At 12:34 pm, LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 68°F. The smoke detectors were tested and observed to be operational at 12:50 pm. The Licensee informed the LPA that the carbon monoxide detector is not currently working. The Licensee stated the Fire Marshal visited the facility on 3/4/22 and gave the facility two weeks to provide a receipt for the purchase of a new carbon monoxide detector. There is one (1) fire extinguisher located in the kitchen. The fire extinguisher was observed to be full and last serviced on 11/04/21.